Second-generation laryngeal mask airway as an alternative to endotracheal tube during prolonged laparoscopic abdominal surgery: a comparative analysis of intraoperative gas exchanges

Introduction: Despite several advantages over endotracheal tube (ETT), laryngeal mask airway (LMA), which is used in emergencies under difficult airway maintenance conditions, is rarely utilized in prolonged surgery. We compared the variables representing intraoperative gas exchange with second-generation LMA and ETT during prolonged laparoscopic abdominal surgery. Methods: Prolonged surgery was defined as a surgery lasting more than 2 h. In total, 394 patients who underwent laparoscopic liver resection via either second-generation LMA or ETT were retrospectively analysed. Parameters including end-tidal pressure of carbon dioxide (ETCO2), tidal volume (TV), respiratory rate (RR), peak inspiratory pressure (PIP), arterial partial pressure of carbon dioxide (PaCO2), pH, and ratio of arterial partial pressure of oxygen to fractional inspired oxygen (PFR) during surgery were compared between the two groups. In addition, the incidence of postoperative pulmonary complications (PPC) including pulmonary aspiration was also compared. Results: The values of ETCO2, TV, RR and PIP during pneumoperitoneum were comparable between the two groups. Although PaCO2 at 2 h after induction was higher in patients with LMA (40.5 vs. 38.5 mmHg, p < 0.001), the pH and PFR values of the two groups were comparable. The incidence of PPC was not different. Conclusion: During prolonged laparoscopic abdominal surgery, the second-generation LMA facilitates adequate intraoperative gas exchange and represents an alternative to ETT.

Download Full-text

Comparison of Pulmonary Gas Exchange During Kidney Transplantation: Second-Generation Laryngeal Mask Airway vs Endotracheal Tube

Transplantation Proceedings ◽

10.1016/j.transproceed.2019.12.057 ◽

2020 ◽

Vol 52 (6) ◽

pp. 1695-1699

Author(s):

Sukhee Park ◽

Gaab Soo Kim ◽

Duck Hwan Choi ◽

Justin S. Ko ◽

Jae Berm Park ◽

...

Keyword(s):

Kidney Transplantation ◽

Gas Exchange ◽

Laryngeal Mask Airway ◽

Endotracheal Tube ◽

Second Generation ◽

Pulmonary Gas Exchange ◽

Laryngeal Mask

Download Full-text

Comparison of End-Tidal and Arterial Carbon Dioxide in Infants Using Laryngeal Mask Airway and Endotracheal Tube

Anesthesia & Analgesia ◽

10.1213/00000539-199701000-00009 ◽

1997 ◽

Vol 84 (1) ◽

pp. 51-53 ◽

Cited By ~ 12

Author(s):

Ashwani K. Chhibber ◽

Kenneth Fickling ◽

Jeffrey W. Kolano ◽

William A. Roberts

Keyword(s):

Carbon Dioxide ◽

Laryngeal Mask Airway ◽

Endotracheal Tube ◽

Laryngeal Mask ◽

Arterial Carbon Dioxide ◽

End Tidal

Download Full-text

Laryngeal mask airway versus endotracheal tube for airway management during laparoscopic percutaneous extraperitoneal closure for inguinal hernia in pediatric day surgery: a retrospective analysis

10.21203/rs.3.rs-728216/v1 ◽

2021 ◽

Author(s):

Tamaki Iwade ◽

Koichi Ohno

Keyword(s):

Carbon Dioxide ◽

Inguinal Hernia ◽

Laryngeal Mask Airway ◽

Airway Management ◽

Endotracheal Tube ◽

Bispectral Index ◽

Laryngeal Mask ◽

Group I ◽

End Tidal Carbon Dioxide ◽

End Tidal

Abstract BackgroundAlthough endotracheal tube is preferred for airway management during laparoscopic percutaneous extraperitoneal closure for inguinal hernias, laryngeal mask airway may also be used. However, few studies have reported the usefulness of laryngeal mask airway during laparoscopic percutaneous extraperitoneal closure. Our study aims to report the advantages of laryngeal mask airway versus endotracheal tube during laparoscopic percutaneous extraperitoneal closure for inguinal hernia in pediatric day surgery.MethodsThe records of 56 patients (Group I, endotracheal tube; Group II, laryngeal mask airway) treated for inguinal hernia using laparoscopic percutaneous extraperitoneal closure between November 2018 and December 2019 were retrospectively reviewed. The duration of anesthesia; changes in hemodynamics (heart rate and systolic/diastolic blood pressure), end-tidal carbon dioxide, and bispectral index; and postoperative complications were analyzed.ResultsGroups I and II had 39 and 17 patients, respectively. The duration of anesthesia and surgery and changes in hemodynamics and bispectral index were similar between the two groups. Induction and recovery times were significantly shorter and changes in end-tidal carbon dioxide were more significant in Group II (p < 0.05). The incidence of sore throat and nausea was higher in Group I (p < 0.05).ConclusionsLaryngeal mask airway was equivalent to endotracheal tube in terms of performance during laparoscopic percutaneous extraperitoneal closure, although induction and recovery were achieved sooner in laryngeal mask airway, with a lower incidence of sore throat and nausea.Trial RegistrationNot applicable

Download Full-text

Prospective, Randomized Comparison of Proseal Laryngeal Mask Airway and Endotracheal Tube in Adults Selected for Elective Laparoscopic Abdominal Surgery

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i40b32293 ◽

2021 ◽

pp. 320-324

Author(s):

Narendran Karthigayan

Keyword(s):

Laryngeal Mask Airway ◽

Abdominal Surgery ◽

Endotracheal Tube ◽

Muscle Relaxant ◽

Proseal Laryngeal Mask Airway ◽

Laryngeal Mask ◽

P Value ◽

Intubation Time ◽

Significant Difference ◽

Sealing Pressure

Both PLMA and SLIPA were easy to insert (100% success) and ventilate with maximum sealing pressure of 30cm H2o (P = 0.4) with no muscle relaxant. No significant difference (P = 0.265) in intubation time between PLMA and ETT were observed in the study. A significant SpO2 change (P = 0.804, 0.561, 0.657, 0.248, 0.561) measured Pre op, Pre intubation, lmt, 3 mt and 5mts after intubation and there were no significant EtCO2 changes (P =0.861, 0.251, 0.44) measured after intubation was observed. Blood staining in 1/25 cases with PLMA and 2/25 cases with ETT with a P value of 0.561was seen.

Download Full-text